Lake Oliver Emergency Group, LLC
NPI 1013675016ActiveOrganization· Emergency Medicine· Tallahassee, FL
Emergency Medicine in Tallahassee, Florida, registered in NPPES in December 2021. The authorized official on file is Lisha C. Falk, Vp Of Contracting. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013675016 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2021 |
| Last updated in NPPES | Sep 27, 2022 |
| Certified by provider | Sep 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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